Email this article 
LYMPHANGIOMA AS A CAUSE OF ILEUS
- Authors: Karaseva O.V.1, Kapustin V.A.1, Agayants A.O.1, Gorelik A.L.1, Kislyakov A.N.1
-
Affiliations:
- Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
- Issue: Vol 23, No 2 (2019)
- Pages: 91-94
- Section: CASE REPORT
- Submitted: 05.03.2021
- Published: 05.04.2019
- URL: https://jps-nmp.ru/jour/article/view/128
- DOI: https://doi.org/10.18821/1560-9510-2019-23-2-91-94
- ID: 128
Cite item
Full Text
Abstract
Introduction. Lymphangiomas are mature benign tumors emanating from the lymphatic vessels making up 9-10% of all benign neoplasms in pediatric oncology. In our practice, we have encountered a rare complication of the lymphangioma of the abdominal cavity - an ileus Objective: To present a clinical picture, diagnostic and surgical tactics in a rare clinical observation of mesenteric lymphangioma, complicated by ileus. Material and methods. Boy aged of 6 years 4 months. He was taken to the emergency department of the Research Institute of NDHiT by an ambulance team (SMP) with suspected acute appendicitis 6 hours after the onset of the disease. Results. According to the results of clinical, laboratory and echographic examination, a child with a clinical picture of “acute abdomen” was suspected of an abdominal lymphangioma. For the purpose of the differential diagnosis of a complicated course of the lymphangioma of the abdominal cavity with complicated destructive appendicitis, 2 hours after hospitalization, laparoscopy was performed and there was confirmed lymphangioma of the ileum mesentery, complicated by the twisting of the latter. After elimination of the torsion, a section of the ileum with a tumor was resected with an end-to-end anastomosis. Histologically, the diagnosis of lymphangioma was confirmed. Conclusion. The cause of “acute abdomen” may be the development of complications of the mesenteric lymphangioma. Timely hospitalization of the child in a specialized hospital allows making a diagnosis in a timely manner, select the optimal surgical tactics and prevent life-giving complications
About the authors
O. V. Karaseva
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Author for correspondence.
Email: karaseva.o@list.ru
Россия
V. A. Kapustin
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: noemail@neicon.ru
Россия
A. O. Agayants
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: noemail@neicon.ru
Россия
A. L. Gorelik
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: noemail@neicon.ru
Россия
A. N. Kislyakov
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: noemail@neicon.ru
Россия
References
- Беленький В.А., Негодуйко В.В., Рудик В.В., Разбаков А.М., Уржумов В.Д. Редкие случаи лимфангиом брюшной полостибольшого размера у взрослых. Хирургия Украины. 2015; 2: 12-6.
- Hunter C., Connelly M., Lee S., Wang L., Nguyen N. Mesentericlymphaticmalformationassociatedwithacute appendicitis: A case report. Journal of Medical Case Reports.2009;3:9030doi: 10.4076/1752-1947-3-9030
- ЛитовкаВ.К., ГронаВ.Н., ЖурилоИ.П., ВесёлыйС.В., СоповГ.А., ЛатышовК.В., ГунькинА.Ю., МоисееваТ.Ю. Лимфангиомы брыжейки кишечника у детей.Украинский журнал хирургии. 2011; 3 (12).
- CohВ.К., Tan Y.M.,.OgnH.S et al. Intraabdominal and retroperitoneal lymphangiomas in pediatric and adult patients.WorldJ. Surg. 2005;. 29( 7):873-40.
- Ашкрафт К. У., Холдер Г. М. Детская хирургия. СПб.: Раритет-М; 1999.
- Приходченко В.В. Лимфангиомы у детей (клиника, диагностика, лечение). Дис.. канд. мед. наук В.В. Приходченко. Донецк, 1986.
- Краевский Н.А., Смольников А.В., Саркисов Д.С. Руководство по патологической диагностике опухолей человека. М.: Медицина; 1993; 1: 314.
- Wake S., Abhyankar A., Hutton K. Abdominal cystic lymphangioma mimicking аppendicitis. European Journal of Pediatric Surgery Reports. 2013; 1(1): 32-4.
- Hisham F. Abdominal cystic lymphangioma in children. Ann Pediatric Surg. 2009;2(5):132-6.
- Грона В.Н., Литовка В.К., Журило И.П., Латышов К.В. Опухоли и опухолеподобные образования у детей. Донецк: НордПрес.; 2010.
- ШароевТ.А.,Бурков И.В., Ковалев Д.В., Климчук О.В., Бондаренко С.Б., Илларионов Ю.В.Лимфангиомы брыжейки тонкой кишки у детей (Обзор литературы и собственные клинические наблюдения).Российский вестник детской хирургии, анестезиологии и реаниматологии. 2012; 2(2): 58-63.
- Чепурной Г.И., Дорвло Т., Орловский В.В., Варичева Н.В., Алексеев В.А. Принципы хирургического лечения лимфангиом у детей. Детская хирургия. 2009; 5: 4-7.
- Alqahtani A., Nguyen L.T., Flageole H., et al. 25 years’ experiencewith lymphangioma sinchildren. J Pediatr Surg. 1999;34:1164-8.
- Steyaert H., Guitard J., Moscovici J., et al. Abdominal cystic lymphangioma in children: benign lesions that can have a proliferative course. J. PediatrSurg. 1996; 31: 677-80.
- Карасева О.В. Острый живот в практике педиатра. Педиатрическая фармакология.2011;8( 5):21-6.
- Leung A.K.C., Sigalet D.L. Acuteabdominal painin children.American familyphysician. 2003;11 (67):2321-6.
- Казущик В.Л., Протасевич А.И. Редкие формы острой кишечной непроходимости. Методические рекомендации. Минск: БГМУ; 2008.
Supplementary files
